Organization
WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B BRANNAN (CEO)
(307) 856-9281
Entity
Organization
Contact information
Practice address
909 W MAIN ST, RIVERTON, WY 82501-3228
(307) 856-9281
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(307) 856-9281
(307) 463-4489
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
05/03/2024
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